Imaging in Congenital Pulmonary Vein Anomalies: the Role of Computed Tomography

Overview

Journal Pediatr Radiol

Specialty Pediatrics

Date 2014 Aug 22

PMID 25142330

Citations 12

Authors

Kevin Todd Dyer

Anthony Marcus Hlavacek

Felix Gabriel Meinel

Carlo Nicola De Cecco

Andrew Douglas McQuiston

Uwe Joseph Schoepf

Nicholas Peter Pietris

Affiliations

Soon will be listed here.

Abstract

Pulmonary venous anomalies comprise a wide spectrum of anatomical variations and their clinical presentations may vary from the relatively benign single partial anomalous pulmonary venous connection (PAPVC) to the critical obstructed total anomalous pulmonary venous connection (TAPVC). We briefly review the common anomalies encountered, while highlighting the utility that computed tomographic angiography (CTA) provides for this spectrum of extracardiac vascular malformations and connections. CTA has established itself as an invaluable imaging modality in these patients. A detailed knowledge of the CTA imaging findings in pulmonary venous anomalies is crucial to guide clinical decision-making in these patients.

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References

Latson L, Prieto L . Congenital and acquired pulmonary vein stenosis. Circulation. 2007; 115(1):103-8. DOI: 10.1161/CIRCULATIONAHA.106.646166. View

Tsitouridis I, Tsinoglou K, Morichovitou A, Stratilati S, Siouggaris N, Kontaki T . Scimitar syndrome versus meandering pulmonary vein: evaluation with three-dimensional computed tomography. Acta Radiol. 2006; 47(9):927-32. DOI: 10.1080/02841850600885401. View

Seale A, Uemura H, Webber S, Partridge J, Roughton M, Ho S . Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation. 2010; 122(25):2718-26. DOI: 10.1161/CIRCULATIONAHA.110.940825. View

Rajiah P, Kanne J . Computed tomography of pulmonary venous variants and anomalies. J Cardiovasc Comput Tomogr. 2010; 4(3):155-63. DOI: 10.1016/j.jcct.2010.01.016. View

Ciliberti P, Taylor A, Yates R, Giardini A . Occlusion of persistent levoatrial cardinal vein without left heart hypoplasia utilizing an Amplatzer device. Eur Heart J Cardiovasc Imaging. 2013; 14(9):857. DOI: 10.1093/ehjci/jet053. View

Dillman J, Yarram S, Hernandez R . Imaging of pulmonary venous developmental anomalies. AJR Am J Roentgenol. 2009; 192(5):1272-85. DOI: 10.2214/AJR.08.1526. View

Patton W, Momenah T, Gooding C, Silverman N . The vascular vise causing TAPVR type I to radiographically mimic TAPVR type III. Pediatr Radiol. 1999; 29(5):323-6. DOI: 10.1007/s002470050599. View

Cetin I, Ozkan S, Varan B, Gokdemir M, Ceviz N, Kantarci M . Anomalous pulmonary venous connection to the azygous vein: surgical approach of a case with 3D computed tomography findings. J Card Surg. 2009; 24(3):345-7. DOI: 10.1111/j.1540-8191.2009.00843.x. View

Tajik A, Gau G, RITTER D, SCHATTENBERG T . Echocardiographic pattern of right ventricular diastolic volume overload in children. Circulation. 1972; 46(1):36-43. DOI: 10.1161/01.cir.46.1.36. View

10.

Frazier A, Burke A . The imaging of pulmonary hypertension. Semin Ultrasound CT MR. 2012; 33(6):535-51. DOI: 10.1053/j.sult.2012.06.002. View

11.

Breinholt J, Hawkins J, Minich L, Tani L, Orsmond G, Ritter S . Pulmonary vein stenosis with normal connection: associated cardiac abnormalities and variable outcome. Ann Thorac Surg. 1999; 68(1):164-8. DOI: 10.1016/s0003-4975(99)00311-2. View

12.

Seale A, Webber S, Uemura H, Partridge J, Roughton M, Ho S . Pulmonary vein stenosis: the UK, Ireland and Sweden collaborative study. Heart. 2009; 95(23):1944-9. DOI: 10.1136/hrt.2008.161356. View

13.

Butts R, Crean A, Hlavacek A, Spicer D, Cook A, Oechslin E . Veno-venous bridges: the forerunners of the sinus venosus defect. Cardiol Young. 2011; 21(6):623-30. PMC: 4004967. DOI: 10.1017/S1047951111000710. View

14.

Nie P, Wang X, Cheng Z, Ji X, Duan Y, Chen J . Accuracy, image quality and radiation dose comparison of high-pitch spiral and sequential acquisition on 128-slice dual-source CT angiography in children with congenital heart disease. Eur Radiol. 2012; 22(10):2057-66. DOI: 10.1007/s00330-012-2479-1. View

15.

Karamlou T, Gurofsky R, Al Sukhni E, Coles J, Williams W, Caldarone C . Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation. 2007; 115(12):1591-8. DOI: 10.1161/CIRCULATIONAHA.106.635441. View

16.

Watson T, Mah E, Schoepf U, King L, Huda W, Hlavacek A . Effective radiation dose in computed tomographic angiography of the chest and diagnostic cardiac catheterization in pediatric patients. Pediatr Cardiol. 2012; 34(3):518-24. DOI: 10.1007/s00246-012-0486-2. View